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B) Thrombocytopenia ( Platelets)
Immune thrombocytopenic purpura:
Isolated thrombocytopenia ( mild anemia)
Aplastic anemia:
Pancytopenia
Parameter
WBCs (X1.000)
HB (g/dl)
MCV (fl)
MCH (pg)
Platelet (X1,000)
Reticulocytes
Patients value
Normal Value
10
8
65
22
450
1.5%
4 -11
11.5 13.5
75 86
27 33
150 450
0.5- 2%
Parameter
Patients value
Normal Value
WBCs (X1.000)
10
4 -11
HB (g/dl)
MCV (fl)
6
66
11.5 13.5
75 86
MCH
23
27 33
Platelet (X1,000)
420
150 450
Reticulocytes
8%
0.5- 2%
(pg)
Parameter
WBCs (X1.000)
HB (g/dl)
MCV (fl)
MCH (pg)
Platelet (X1,000)
Reticulocytes
Patients value
Normal Value
10
10.4
80
29
25
1%
4 -11
11.5 13.5
75 86
27 33
150 450
0.5- 2%
Parameter
WBCs (X1.000)
HB (g/dl)
MCV (fl)
MCH (pg)
Platelet (X1,000)
Reticulocytes
Patients value
Normal Value
2
5.3
80
29
25
0.1%
4 -11
11.5 13.5
75 86
27 33
150 450
0.5- 2%
Parameter
WBCs (X1.000)
HB (g/dl)
MCV (fl)
MCH (pg)
Platelet (X1,000)
Band count
Polymorph: 70%
Patients value
Normal Value
35
9
78
27
250
25%
4 -11
11.5 13.5
75 86
27 33
150 450
< 2%
Lymphocytes: 25%
Parameter
WBCs (X1.000)
HB (g/dl)
MCV (fl)
MCH (pg)
Platelet (X1,000)
Band count
Polymorph: 35%
Patients value
Normal Value
14.5
10.4
82
30
300
2%
4 -11
11.5 13.5
75 86
27 33
150 450
< 2%
Lymphocytes: 65%
Normal
Value
Comment
WBCs(x103/mm3)
5.6
4 - 11
Normal
HB(g/dl)
7.8
11.5 - 13.5
Anemia
MCV(Fl)
66
75 - 86
Microcytic
MCH(pg)
24.5
27 - 33
Hypochromic
Plateletes(x103/mm3)
300
150 450
Normal
0.5 - 2
Normal
Parameter
Reticulocytes(%)
Patients
Value
Normal
Value
Comment
WBCs(x103/mm3)
6.3
4 - 11
Normal
HB (g/dl)
3.2
11.5 - 13.5
Anemia
MCV (Fl)
54
75 - 86
Microcytic
MCH (pg)
20
27 - 33
Hypochromic
Plateletes(x103/mm3)
600
150 - 450
Thromboctosis
0.5 - 2
Reticulocytosis
Reticulocytes (%)
Patients
Value
Normal
Value
Comment
WBCs(x103/mm3)
5.5
4 - 11
Normal
HB (g/dl)
10.5
11.5 - 13.5
Mild Anemia
MCV (Fl)
81
75 - 86
Normocytic
MCH (pg)
30
27 - 33
Normochromic
Plateletes (x103/mm3)
15
150 - 450
Thrombocytpenia
Reticulocytes (%)
0.5 - 2
Normal
Patients
Value
Normal
Value
Comment
4 - 11
Leukopenia
HB (g/dl)
5.2
11.5 - 13.5
Anemia
MCV (Fl)
78
75 - 86
Normocytic
MCH (pg)
28.9
27 - 33
Normochromic
Plateletes (x103/mm3)
25
150 - 450
Thrombocytpenia
Reticulocytes (%)
0.1
0.5 - 2
Reticulocytopenia
WBCs (x103/mm3)
Patients
Value
Normal
Value
Comment
WBCs(x103/mm3)
20
4 - 11
Leukocytosis
HB(g/dl)
9.5
11.5 - 13.5
Anemia
MCV(Fl)
82
75 - 86
Normocytic
MCH(pg)
30
27 - 33
Normochromic
Plateletes(x103/mm3)
300
150 - 450
Normal
Polymorph :70%
Lymphocytes :25%
There is Leukocytosis, with predominant neutrophilia (PolymorphNuclear Leukocytosis) with increase in the band count (Bandemia)
& shift to the left most probably bacterial infection.
ESR, CRP, proper cultures from possible infection focus or from
blood are recommended.
Patients
Value
Normal
Value
Comment
14.5
4 - 11
Leukocytosis
HB(g/dl)
11
11.5 - 13.5
Mild Anemia
MCV(Fl)
82
75 - 86
Normocytic
MCH(pg)
30
27 - 33
Normochromic
Plateletes(x103/mm3)
300
150 - 450
Normal
WBCs(x103/mm3)
Polymorph : 35%
Lymphocytes :65%
Band Count 3 %